{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T17:07:41Z","timestamp":1763572061083},"reference-count":20,"publisher":"American Public Health Association","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[1983,7]]},"abstract":"<jats:p> This study measured the incidence of cause-specific trauma in the Cleveland and Lorain-Elyria Standard Metropolitan Statistical Areas (SMSAs), population 2.2 million, as reported to hospital emergency departments (ED). Cases were selected according to a stratified probability sampling plan (N = 9268). The participating hospitals accounted for 97.6 per cent of 903,346 ED visits in 1977; 52 per cent of these visits were for trauma (ICDA-8 E800-E999). The trauma incidence rate was 197 per 1,000 population. The six leading causes of injury were: falls, 24.4 per cent; cut\/piercing injury, 14.2 per cent; striking or struck by object, 13.8 per cent; motor vehicle collisions (MVC), 11.6 per cent; overexertion\/strain, 8.2 per cent; and assault, 4.3 per cent. Only falls, MVCs, and assaults were leading causes of both injury and death. The injury incidence rates for vehicular crashes and assault were 1.4 and 3.8 times higher, respectively, than the official incidence rates for these SMSAs. These differences point to a significant underreporting of data needed for public health decision making. Because data were not collected on cases treated outside the participating hospitals, the incidence rates reported here represent a conservative estimate of the magnitude of the problem. <\/jats:p>","DOI":"10.2105\/ajph.73.7.746","type":"journal-article","created":{"date-parts":[[2008,11,27]],"date-time":"2008-11-27T05:16:35Z","timestamp":1227762995000},"page":"746-751","source":"Crossref","is-referenced-by-count":83,"title":["Northeastern Ohio trauma study: I. Magnitude of the problem."],"prefix":"10.2105","volume":"73","author":[{"given":"J I","family":"Barancik","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B F","family":"Chatterjee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y C","family":"Greene","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E M","family":"Michenzi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Fife","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"p_5","unstructured":"Vital Statistics of the United States, Vol II-Mortality Part A, 1977. DHHS Pub. No. (PHS) 81-1 101. Hyattsville, MD: DHHS, 1980."},{"key":"p_6","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(75)90057-0"},{"key":"p_7","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a112136"},{"key":"p_8","first-page":"1980","volume":"74","author":"Annegers JF","year":"1953","journal-title":"Minnesota"},{"key":"p_9","unstructured":"Trunkey DD: Problems in trauma care: a comparison of two California counties. In: Bowers JZ, Purcell EF (eds): Emergency Medical Services: Measures to Improve Care: Report of a Conference held September 9 to 11, 1979. New York: Josiah Macy, Independent Publishers Groups, 1980."},{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1979.03290470019017"},{"key":"p_11","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198020010-00002"},{"key":"p_12","unstructured":"Hartunian NS, Smart CN, Thompson MS: The Incidence and Economic Cost of Major Health Impairments: Comparative Analysis of Cancer, Motor Vehicle Injuries, Coronary Heart Disease, and Stroke. Lexington, MA: Lexington Books, 1981."},{"key":"p_13","unstructured":"US Department of Commerce, Bureau of the Census: 1970 Census of Population. Washington, DC: Govt Printing Office, 1971."},{"key":"p_14","unstructured":"US Department of Commerce, Bureau of the Census: 1980 Census of Population and Housing: Advance Reports. Washington, DC: Govt Printing Office, 1981."},{"key":"p_15","unstructured":"Metropolitan Health Planning Corporation: Health Systems Plan. Cleveland, OH: MHPC, 1977."},{"key":"p_16","unstructured":"Barancik JI, Shapiro MA: Pittsburgh burn study, Pittsburgh and Allegheny County, Pennsylvania, June 1, 1970 to April 15, 1971. NTIS Pub. No. PB 250-737. Washington, DC: US Consumer Product Safety Commission, 1976."},{"key":"p_17","unstructured":"National Center for Health Statistics: International Classification of Diseases, adapted, eighth revision. In: Vital and Health Statistics, v. 11 tabular list, PHS Pub. No. 1693. Washington, DC: NCHS, 1967."},{"key":"p_18","unstructured":"Vital Statistics Division, Office of Data Services, Ohio Department of Health: Mortality Tapes. Columbus, OH: ODH. 1977."},{"key":"p_19","unstructured":"Ohio Department of Highway Safety: Ohio Traffic Accident Facts, 1977. Columbus, OH: Bureau of Motor Vehicles, 1978."},{"key":"p_20","unstructured":"Federal Bureau of Investigation: FBI Uniform Crime Reports. Crime in the United States 1977. Washington, DC: US Department of Justice, 1978."},{"key":"p_21","unstructured":"National Center for Health Statistics: Current estimates from the health interview survey: United States-1977. In: Vital and Health Statistics. Series 10, No. 126, DHEW Pub. No. (PHS) 78-1554. Hyattsville, MD: NCHS, 1978."},{"key":"p_22","doi-asserted-by":"crossref","unstructured":"Rushforth NB, Ford AB, Hirsch CS, Rushforth NM, Adelson L: Violent death in a metropolitan county: changing patterns in homicide (1958-1974). N EngI J Med 1977; 297:531-538.","DOI":"10.1056\/NEJM197709082971004"},{"key":"p_23","doi-asserted-by":"publisher","DOI":"10.1016\/0001-4575(73)90004-3"},{"key":"p_24","unstructured":"National Center for Health Statistics: International Classification of Diseases, ninth revision clinical modification, Pub. No. ICD-9-CM. Ann Arbor, MI: Commission on Professional and Hospital Activities, 1978."}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.73.7.746","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T18:34:50Z","timestamp":1652121290000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.73.7.746"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1983,7]]},"references-count":20,"journal-issue":{"issue":"7","published-print":{"date-parts":[[1983,7]]}},"alternative-id":["10.2105\/AJPH.73.7.746"],"URL":"https:\/\/doi.org\/10.2105\/ajph.73.7.746","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[1983,7]]}}}